中西医结合治疗卒中后吞咽障碍的疗效观察

Observation on the Therapeutic Effect of Integrated Chinese and Western Medicine on Dysphagia after Stroke

目的 对于卒中后吞咽障碍患者提供中西医结合治疗的具体方法以及临床疗效进行探讨。方法 选取2018年5月至2020年5月我院112例卒中后吞咽障碍患者作为本次研究对象,利用随机数字表法对所选卒中后吞咽障碍患者加以分组。选择其中56例卒中后吞咽障碍患者,给予其单一西医方式进行治疗,将其作为对照组;选择剩余56例卒中后吞咽障碍患者,给予其中西医结合治疗,将其作为研究组。比较两组卒中后吞咽障碍患者接受各自临床治疗方案之后的治疗效果,将所获结果开展统计学计算。结果两组卒中后吞咽障碍患者接受各自临床治疗措施之后的总体有效率比较具有显著差异,存在统计学意义;两组卒中后吞咽障碍患者接受各自临床治疗措施之后的生活质量评分对比具有显著差异,存在统计学意义。结论 吞咽障碍具体指的是液体或是固体从人体口腔传递到胃部的过程中产生传送延迟以及运动障碍,脑卒中患者中产生吞咽障碍现象非常多见,患者会表现为饮水呛咳、语言障碍以及吞咽困难等,会导致吸入性肺炎,严重者会产生窒息死亡,大多数患者因为进食困难出现营养摄入量不足,一些患者会产生抑郁以及进食恐惧等表现,对于患者的生活质量产生影响,临床中针对卒中后吞咽障碍患者,给予其中西医结合治疗效果明显,应该给予大力的推广与应用。

Objective To explore the specific methods and clinical effects of integrated traditional Chinese and Western medicine for patients with dysphagia after stroke. Methods From May 2018 to May 2020, 112 patients with dysphagia after stroke in our hospital were selected as the subjects of this study. The selected patients with dysphagia after stroke were divided into groups by using the random number table method. Among them,56 patients with dysphagia after stroke were selected and treated with a single Western medicine method as the control group. The remaining 56patients with post-stroke dysphagia were selected and given combined Chinese and Western medicine as the study group. The therapeutic effects of two groups of patients with dysphagia after stroke were compared after receiving their own clinical treatment plans, and the results were statistically calculated. Results The total effective rate of patients with dysphagia in two groups after receiving their own clinical treatment measures was significantly different, there was statistical significance;the quality of life score of patients with dysphagia in two groups after receiving their own clinical treatment measures was significantly different, there was statistical significance. Conclusion Swallowing disorder refers to a specific liquid or solid from the human body in the process of the mouth to the stomach to produce transmission delay and movement disorders, and produce swallowing disorder in patients with cerebral apoplexy phenomenon is very rare, patients are characterized by water choking cough, the language barrier and dysphagia, can cause aspiration pneumonia, severe cases can produce suffocation death, most patients have insufficient nutritional intake because of eating difficulties, and some patients will have depression and fear of eating, which will affect the quality of life of patients. In clinical practice, for patients with dysphagia after stroke, the combination of western medicine treatment has obvious effect, and should be vigorously promoted and applied.